The Ebola Crisis Was Terrible. But Next Time Could Be Much Worse.
NEW YORK TIMES OPINION PAGE by Bill Gates March 18, 2015
(Scroll down for fuller Bill Gates article in the New England Journal of Medicine)
SEATTLE — The Ebola epidemic in West Africa has killed more than 10,000 people. If anything good can come from this continuing tragedy, it is that Ebola can awaken the world to a sobering fact: We are simply not prepared to deal with a global epidemic.
REUTERS by Saliou Samb and Emma Farge March 17, 2015
CONAKRY/DAKAR - Guinea has suffered a setback in its fight against Ebola with a rash of new cases, including three doctors infected by the virus, with officials blaming weak surveillance and a failure to follow safety procedures.
... Guinea has seen cases rise for three consecutive weeks, according to World Health Organization data.
A government health report from the weekend showed there were 21 new cases in a single day, a spike from the recent daily average of eight.
One big source of concern is a chain of new infections that can be linked back to a woman who died of Ebola and was not buried safely, according to Fatoumata Lejeune-Kaba, spokeswoman for the U.N.'s Ebola emergency response mission UNMEER.
"It's a major setback .... It's due to individual behaviours. That is having a devastating effect on the community. People are simply not practising the safety rules that we have been talking about for a year," she told Reuters.
Last fall, with the Ebola epidemic raging, the small nation of Benin, a few countries away from the outbreak zone, experienced a cluster of unexplained deaths.
In mid-October, a 12-day-old baby was taken to a hospital in Tanguiéta, in northwest Benin, and died two days later. By early November, three employees of the hospital, St. Jean de Dieu, were dead too.
As if being stricken by the most deadly virus known to man weren't enough, now, it seems, West Africa is on alert for outbreaks of vaccine-preventable diseases including measles, whooping cough, and tuberculosis.
A girl collects her family's laundry after drying it on a rooftop in the West Point township on January 31, 2015 in Monrovia, Liberia. Life has been disrupted by Ebola for many Liberians.
In a new study in the journal Science, researchers focused on measles — the most contagious virus recorded — and applied statistical models to quantify the likelihood of an epidemic in the three countries worst hit by Ebola, Liberia, Sierra Leone, and Guinea.
As if being stricken by the most deadly virus known to man weren't enough, now, it seems, West Africa is on alert for outbreaks of vaccine-preventable diseases including measles, whooping cough, and tuberculosis.
A girl collects her family's laundry after drying it on a rooftop in the West Point township on January 31, 2015 in Monrovia, Liberia. Life has been disrupted by Ebola for many Liberians.
In a new study in the journal Science, researchers focused on measles — the most contagious virus recorded — and applied statistical models to quantify the likelihood of an epidemic in the three countries worst hit by Ebola, Liberia, Sierra Leone, and Guinea.
(Scroll down for links to press release and full report.)
DAKAR -- West Africa may lose up to $15 billion over the next three years due to the impact of the Ebola outbreak on trade, investment and tourism, according to a report by the United Nations.
The world's deadliest Ebola epidemic has killed almost 10,000 people in the three most affected countries of Guinea, Liberia and Sierra Leone, deepening poverty in one of the least developed parts of the world.
"The consequences of Ebola are vast," said Abdoulaye Mar Dieye, Africa director of the United Nations Development Programme (UNDP).
"Stigma and risk aversion have caused considerable amounts of damage, shutting down borders and indirectly affecting the economies of a large number of countries in the sub-region."
INFECTION CONTROL TODAY March 11, 2015 Storing Ebola-infected sewage for a week at 86 degrees Fahrenheit or higher should allow enough time for more than 99.99 percent of the virus to die, though lower ambient temperatures may require a longer holding period, according to a new study by researchers at Georgia State University's School of Public Health.
The study co-authored by Lisa M. Casanova, assistant professor of environmental health, and Scott R. Weaver, research assistant professor in Epidemiology and Biostatistics, used bacteriophage Φ6, a type of virus, as a stand-in to study how long Ebola and similar viruses can survive in latrines and other systems for collecting and disposing of sewage. Bacteriophage Φ6 has a lipid envelope, meaning it has structural similarities to Ebola and several other types of virus, allowing for a safe study that did not require use of Ebola itself.
"The places hardest hit by Ebola are the places that often have the least infrastructure for safely disposing of sewage and are using things like pit latrines," says Casanova. "They need the answers to questions like this."
GENEVA -Waning interest in Ebola could jeopardize efforts to stamp out the world's worst recorded outbreak of the disease, the World Health Organization said on Wednesday.
Nameplates are seen at a cemetery for victims of Ebola virus in Suakoko, Liberia, March 11, 2015. Reuters/James Giahyue
Case numbers have fallen to a low level and it should be possible to stop transmission by mid-year, but the disease is "not waning" and it is much too early to assume the outbreak will end, said WHO Assistant Director General Bruce Aylward.
"We talk often about how steep the drop in cases has been. The only thing that has dropped more quickly and more steeply is the new contributions in financing," he told reporters in Geneva.
...the failure to make further inroads is "alarming", Aylward said.
"Getting from here to zero is going to require another reinvestment (in the drive to tackle the outbreak)."
As in all Ebola episodes, preventing infection in West Africa during what has been the worst outbreak in history has placed a lot of effort on looking after those dealing with the victims. New high-tech equipment is now available for use by health care workers, but in some countries it may be inappropriate....
Health care workers inside a USAID-funded Ebola clinic in Liberia wearing protective gear. Some of the best protective gear or technology is not available to African countries because of high costs or other conditions. Photos by Abbas Dulleh • Associated Press,
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